David J Dexter OD PC

A Medicare group practice based in Oswego, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5698894426), with 9 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5698894426The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
3
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20100930014473 NY DME Supplier - Physician - Optometrist 1205990157
O20100930039550 NY DME Supplier - Physician - Optometrist 1346377017
O20110415000568 NY Part B Supplier - Clinic/Group Practice 1346377017

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 9

Clinicians who reassign their Medicare benefits to this group (9) or whom Care Compare lists as members (2).

Sources for this page